incomes, derived from their teaching, to the building and support of the hospital; and in the granting of State appropriations toward the support of the hospital emphasis was frequently made, not only to its charitable aims, but also to the function it was expected and intended and did serve in the instruction of medical students. It has continued to serve this purpose since, in, however, a distinctly haphazard manner according as the hospital physicians were individually affected toward the Medical School. In 1913, owing largely to the efforts of Dean Blumer and Mr. Harry G. Day, a director of the hospital, a closer affiliation was brought about, in the form of a definite contract between the hospital and the Corporation of Yale University by which, to make a long story short, the heads of the departmental staffs and their assistants are given the full control of the public ward services, using them, so far as is consistent with the welfare of the patients, for teaching the students of the Yale Medical School. It would be a work of supererogation to go into the details of this part of the scheme here. I may, however, state that in consideration of the manifold advantages this gives to instruction in the Medical School, Yale University has through the General Educational Board of the Carnegie Foundation and through gifts from other sources, notably from the Estate of Anthony N. Brady, been able to build and equip on the hospital grounds a pathological laboratory of the highest grade. This laboratory, under the charge of Professor Winternitz, is at the service practically of the profession of the state. Besides the Brady Laboratory the University has provided facilities for medical research in other directions in connection with the hospital. Professor Underhill has a department of experimental medicine. Professor Barbour is pursuing investigations in experimental pharmacology. Professor Honeij has an up-to-date X-ray laboratory and each one of the clinical professors has his own laboratory for the study of subjects inciIdent to his own department. Professor Churchman has had installed most elaborate facilities for cystoscopic examinations, etc. All these and other facilities, too numerous to mention, are included in the financial budget for which the University assumes the expense. These are the outlines of the contract to make of the New Haven Hospital a teaching hospital, and included in this scheme is the obligation to publish the result of any advances in medical science. You cannot but understand how immense are these aids in the care and treatment of the patients in the hospital in the first place and how the benefits are carried forward to the profession and incidentally to the community. I do not care to take up the time of the Society with elaborating further upon the mutual benefits to the hospital and Medical School which the establishment of a teaching hospital confers. As you well know, all medical schools of the first class seek such a connection, either with already-existing hospitals or, when founding new medical schools, a hospital is necessarily attached to it. The George Washington University and Hospital in St. Louis; the new Chicago Hospital and Medical School; the University of Pennsylvania Medical School has built a new teaching hospital; the Jefferson Medical School found itself unable to compete with the University of Pennsylvania without a new hospital; these are all cases in point. Columbia University is trying, so far vainly, to make hospital connections, first with the Roosevelt Hospital, then with the Presbyterian Hospital, and still feels itself handicapped in not having such an outfit. Harvard has the Peter Bent Brigham Hospital immediately under its wing and Yale University has now taken the initial step to make its Medical School second to none by allying itself with the old-established New Haven Hospital. In order to make this connection of the greatest advantage to the community also it is financing a new private room pavilion to accommodate one hundred patients, open to the practice of every reputable practitioner of medicine, and plans are in progress for many other improvements which will make this hospital second to none outside of the great cities. It is a matter of interest to the profession further to note the tendency on the part of the general public, those able to pay for the best of care, to seek the care given in well-regulated hospitals, where facilities for the treatment of the sick may be had, so to speak, concentrated; the other hospitals in New Haven are building private room pavilions; Grace Hospital is actively engaged in procuring funds to erect a private room pavilion to accommodate 125 patients on Orchard Street; and the Hospital of St. Raphael has also taken up the project to add a private room wing. As the War Department found in its efforts to control venereal diseases among the enlisted men, it was a necessary preliminary task to look after the civilian population. The United States Government and the State Board of Health have united with the City of New Haven, as shown (in its relation to the New Haven Dispensary) in enlarging the heretofore quite inadequate venereal clinic. They have secured larger quarters and opened an evening service in a new pavilion erected on the hospital grounds by Yale University during the war for intensive laboratory investigation for the medical service of the army. By giving free quarters in this laboratory Yale University has joined in this work. The greatly-increased attendance at the clinic shows that much may be done in inhibiting these diseases. It is evident from this necessarily brief survey of work being done by the profession in New Haven County that medicine is still a progressive science; it is not folding its hands in idleness. In a series of lectures given by Yale University on various phases of reconstruction after the war, Dean Blumer took for his theme the reconstruction problems in medicine, stating it would be largely in the line of prevention and the superficial view was expressed by the newspapers later that logically the medical profession would inevitably in time become extinct. There would no longer be any use for doctors. It is not worth while, however, for the Connecticut State Medical Society to, with undue haste, surrender its charter. The good book says "the poor we always have with us" and in the poor are necessarily included the sick. There will always be violations of the laws of health, so that it hardly appears necessary as yet for a competent physician to take down his shingle for want of opportunity to practice. Respectfully submitted, WILLIAM H. CARMALT, Councilor. (f) New London County, Dr. Charles C. Gildersleeve, Councilor. Mr. President and Gentlemen of the House of Delegates: The oldest medical society in Connecticut, the New London County Medical Association, reports that, all things considered, the past year has been a successful year. At the beginning of the past year, we had sixty-seven active members. We have admitted one new member, E. L. Douglass, M.D., of Groton, nominated two others for membership and four members have died-leaving sixty-four active members. Of these we have remitted the dues of eleven men in the U. S. Service and one on account of age, leaving fifty-two members. We lost, by death, four members:-A. T. Chapman, M.D.; Robert Harrington, M.D.; N. P. Smith, M.D.; and H. H. Howe, M.D. Dr. N. P. Smith was one of the elder physicians of Norwich and by common consent was considered one of the ablest consultants in the county. Dr. H. H. Howe was a physician of the old school, beloved by a large circle of patients and the medical profession. He died "in the harness," while hurrying to make a professional call. The semi-annual meeting of the Society was held in connection with the Connecticut Medical Society at the Crocker House, New London, October 3, 1918. The meeting was not largely attended as, at the time, all our doctors were battling night and day with the influenza epidemic. However, those present were well repaid for their attendance, as they had the pleasure of greeting our popular President, Dr. Bartlett, and our beloved ex-president, Dr. Carmalt, and the other speakers present. Lieutenant Parrington spoke on "Present Milk Situation," Margaret K. Stack on "Child Welfare Work," Captain H. C. Cady on "Extra-cantonment Sanitation," Colonel Nichol on "Respiratory Conditions in the Army." The 128th annual meeting of the Society was held at the Wauregan House, Norwich, Conn., Thursday, April 3, 1919. The paper of the day was by A. H. Miller, M.D., of Providence, R. I., on the subject of "Anæsthesia in its Relation to Surgical Shock." Dr. R. R. Agnew, of Norwich, gave a talk on the subject of "Antiseptics," and demonstrated a new empyema outfit in use at the W. W. Backus Hospital, Norwich, Conn. All the hospitals in the county have been exceedingly busy during the year. Respectfully submitted, Councilor. (g) Windham County, Dr. Robert C. White, Councilor. Mr. President and Gentlemen of the House of Delegates: The Medical Society of this county during the past year has been allowed a short vacation, no semi-annual meeting having been held. At the time of our fall meeting the epidemic of influenza was raging in the county, and the physicians could not take the time to attend it. The annual meeting of the Society was held at Putnam, April 17th, and was fairly well attended. The programme of the Society included a talk upon the subject "Some of the Sequelae of Influenza Requiring Surgical Treatment," by Dr. Clarence Crane, of Boston, and talks by members of the profession of the county who have returned from war service. Dr. Crane's paper was a most instructive one, considering the surgery of the pleura and lungs. Good fortune has followed the medical men of the county during the year just past, and it is with a sense of gratitude that I report no fatalities from influenza or war activities. The greater number of the men have been able to continue their work uninterrupted throughout the year. Probably never have circumstances combined to give the physicians a more busy year than the one just ended. It seems a most cruel fate that an epidemic, so serious in its immediate results and far reaching in its effect upon the later health of the people, should have visited us at the time it did. The care of our sick was a serious problem. However, we found a ready response for help from every source where they |